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DR. DAVONTAE WILLIS MD
NPI 1972293256
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since May 10, 2023PECOS Enrolled
3000 ARLINGTON AVE, TOLEDO, OH 43614(419) 383-4000 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2024, May 10, 2023 (2 updates tracked since 2023).

About Dr. Davontae Willis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVONTAE WILLIS MD (NPI 1972293256) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972293256
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DAVONTAE WILLISCredential: MD
Location Address3000 ARLINGTON AVEToledo, OH 43614-2595
Mailing Address3000 Arlington AveToledo, OH 43614-2595
Phone(419) 383-4000
Sole ProprietorNo
Enumeration DateMay 10, 2023
Last NPPES UpdateSeptember 2, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2024
✔ NPI 1972293256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3000 ARLINGTON AVE, Toledo, OH 43614
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Davontae Willis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEAN O. MCKEE PHARMD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE, GRADUATE MEDICAL EDUCATION MS 1050
TOLEDO, OH 43614
Lucas County (419) 383-4244
DR. SIYUN ZHANG PHARMD
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
TAMARA AVEZBADALOV MD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3752
DR. MARTIN JOSEPH OHLINGER PHARMD
Pharmacist
3000 ARLINGTON AVE, UT MEDICAL CENTER
TOLEDO, OH 43614
Lucas County (419) 383-3898
DR. BURTON LEE ROGERS JR. ED.D, MBA, ATC, LPTA
Specialist/Technologist (Athletic Trainer)
3000 ARLINGTON AVE, MORSE CENTER DOWLING HALL
TOLEDO, OH 43614
Lucas County (419) 383-4000
JEANETTE WOODRUFF R.PH.
Pharmacist
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
DR. BRIAN ALLAN CUSTER D.M.D.
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3504
MRS. JULIE ANN ST JEAN PA-C
Physician Assistant
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davontae Willis's NPI number?

The NPI number for Davontae Willis is 1972293256. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Davontae Willis located?

Davontae Willis practices at 3000 Arlington Ave, Toledo, OH 43614. The listed phone number is (419) 383-4000.

What is Davontae Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Davontae Willis enrolled in Medicare?

Yes. Davontae Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Davontae Willis was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.